So woate akuru ketewaa bi nka pɛn wɔ wo nufu mu bere a woreguare anaa woresakra ntade no? Adeɛ a ɛdi kan a ɛba w'adwene mu berɛ a wote biribi a ɛte saa nka ne ehu a ɛne sɛ, "Oh, so kokoram yi?" Ɛyɛ ade a ɛfata koraa sɛ wubenya saa ehu no. Nanso ɛnyɛ akisikuru biara a wote nka sɛ ɛyɛ kokoram. Mpɛn pii no, eyinom yɛ nufu mu akisikuru a ɛnyɛ hu, anaa nea yɛfrɛ no `(Breast Cysts)`. Enti momma yɛnka eyi ho asɛm nnɛ.
Dɛn ankasa ne Nufu mu Ntini?
Sɛ yɛbɛka no tiawa a, `Breast Cyst` yɛ kotoku ketewa bi a nsu ahyɛ mu ma a ɛba wo nufu mu. Fa no sɛ ɛte sɛ nsu bɔɔl ketewaa bi. Eyinom yɛ kotoku a nsu ahyɛ mu ma a ɛba wɔ nufusu ntini a ɛwɔ wo nufu mu no biako mu. Nea ɛho hia sen biara no, wɔnyɛ kokoram (benign) .
Nkwammoaa bi sua araa ma yentumi nte nka mpo. Nanso ebinom tumi nyin bɛyɛ nsateakwaa pii. Sɛ ɛba saa a, wubetumi ate wɔn nka yiye, na ɛtɔ mmere bi a wɔn ho bɛtɔ wɔn kakra. Mmea binom betumi anya saa akisikuru yi pii wɔ nufu biako anaa abien no nyinaa mu, na ayɛ akuwakuw.
Adeɛ a ɛho hia ne sɛ saa `Breast Cysts` a ɛyɛ daa yi mma asiane a ɛwɔ hɔ sɛ wobɛnya nufu mu kokoram no nkɔ soro. Na "wɔndan" biribi a ɛyɛ hu da.
Hena na obetumi anyin eyinom kɛse?
Ɛwom sɛ tebea yi betumi aba mmea a wɔadi mfe biara so de, nanso mpɛn pii no, nea edidi so yi wɔ asiane kɛse mu:
- Wɔ mmea a wɔadi fi mfe 35 kosi 50 fam no .
- Wɔ mmea a wɔda so ara kɔ brayɛ mu (Premenopausal) fam.
- Mmea a wɔagyae brayɛ akyi a wɔrenom hormone therapy (HRT).
So nnuaba yi ahorow bi wɔ hɔ?
Yiw, nnuruyɛfo kyekyɛ eyinom mu atitiriw abiɛsa. Wo duruyɛfo bɛyɛ ultrasound scan de akyerɛ wo ɔkwan pɔtee a ɛyɛ. Saa nkyekyɛmu yi ho hia na yɛate ase sɛ ebia asiane wɔ hɔ sɛ obenya kokoram anaasɛ ɛnte saa.
| Cyst Type | Nkyerɛkyerɛmu kɛkɛ |
|---|---|
| Nufu mu Nkwammoaa a Ɛnyɛ Den | Eyi ne ɔkwan a ɛtaa ba (90% wɔ nsɛm no mu). Nsu ahyɛ mu ma koraa. Afasu no yɛ torotoro. Eyinom nyɛ kokoram da. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho koraa. |
| Nufu mu Ntini a Ɛyɛ Den | Nsu nso wɔ eyinom mu. Nanso, nsu no betumi ayɛ mununkum kakra, anaasɛ nneɛma nketenkete bi a ɛnkɔ so wɔ afasu no mu. Nanso, asiane a ɛwɔ hɔ sɛ eyinom bɛyɛ kokoram no sua koraa (ennu 2%). Oduruyɛfo no betumi de ade anom nsu kakraa bi na wasɔ ahwɛ, anaasɛ ɔbɛka akyerɛ wo sɛ san hwɛ bio wɔ bɛyɛ asram 6 akyi. |
| Nufu mu Nkwammoaa a Ɛyɛ Den | Ebia nneɛma a ɛyɛ nsu ne nea ɛyɛ den nyinaa na ɛwɔ akisikuru a ɛte sɛɛ mu. Saa akisikuru yi mu bɛyɛ 20% yɛ kokoram. Esiane eyi nti, akyinnye biara nni ho sɛ oduruyɛfo no de ade bɛfa ntini ketewaa bi na ɔde akɔma wɔakɔyɛ nhwehwɛmu (biopsy). |
Bio nso, wɔkyekyɛ saa cysts yi mu sɛdeɛ wɔn kɛseɛ teɛ sɛ ``Microcysts'' (ketewa paa, wɔde ``Ultrasound'' nko ara na ɛtumi hu) ne ``Macrocysts'' (ɛkɛse sɛ wɔbɛkura nsa mu).
Dɛn ne nufu mu akisikuru ho sɛnkyerɛnne?
Sɛ wowɔ akisikuru kɛse bi a, ebia wubehu sɛnkyerɛnne ahorow te sɛ:
- Akuru a wotumi te nka wɔ nsa mu. Eyi betumi ayɛ mmerɛw anaasɛ ayɛ den kakra , nanso mpɛn pii no ɛyɛ mmerɛw.
- Mpɛn pii no akuru no yɛ kurukuruwa na ɛyɛ torotoro . Wɔte anoano no nka pefee.
- Ebia wobɛte nufu mu yaw anaasɛ wo ho ayɛ wo yaw, titiriw nna kakraa bi ansa na woakɔ nna .
- Ebia akuru no bɛte nka sɛ ɛyɛ kɛse kakra ansa na wo nna afi ase, na ayɛ ketewaa wɔ wo nna akyi.
- Akisikuru akɛse tumi di akɔneaba wɔ honam ani .
Mmea binom betumi anya nsu a efi wɔn nufu mu anaasɛ ɛyaw wɔ baabi.
Dɛn nti na akisikuru te sɛ eyi ba?
Wonnya nhuu nea ɛde tebea yi ba ankasa, nanso abenfo gye di sɛ ebia nsakrae a ɛba nipadua no mu ahoɔdennuru dodow a ɛwɔ nipadua no mu (titiriw estrogen) mu no na ɛde ba. Bere a hormone dodow so tew bere a wagyae brayɛ akyi no, mpɛn pii no, saa akisikuru yi nyin so tew.
Oduruyɛfo, wobɛyɛ dɛn ahu sɛ eyi yɛ nufu mu akisikuru?
Sɛ wokɔ oduruyɛfo nkyɛn fa akisikuru bi ho a, ebia obedi anammɔn yi akyi:
1. Nipadua mu nhwehwɛmu: Nea edi kan no, oduruyɛfo no bɛhwɛ wo nufu mu sɛnea ɛbɛyɛ a obehu sɛnea akisikuru no te, sɛnea ɛyɛ den, ne beae a ɛwɔ.
2. Ultrasound Scan: Eyi ne sɔhwɛ a ɛho hia sen biara. Ɛnyɛ yaw. Sɛ oduruyɛfo no de saa scan yi di dwuma a, obetumi ahu pefee sɛ ebia nsu (i.e. akisikuru) ahyɛ akuru no ma anaasɛ ɛyɛ den.
3. Mammogram: Sɛ woadi boro mfe 30 anaasɛ bere aso sɛ woyɛ mammogram a, ebia wo duruyɛfo nso bɛkamfo akyerɛ wo.
Nsu a wɔde ade a wɔde yiyi mu (Aspiration) .
Ɛtɔ mmere bi a, sɛ oduruyɛfo no gye di sɛ akisikuru a wohu wɔ ultrasound no mu no a, obetumi de ade ketewaa bi ahyɛ akisikuru no mu na watwe nsu a ɛwɔ mu no afi mu. Bere a wɔtwe nsu no fi mu no, akisikuru no yera. Wɔfrɛ saa adeyɛ yi sɛ aspiration.
So ɛsɛ sɛ mesa eyi?
Mpɛn pii no, ayaresa biara ho nhia. Esiane sɛ `simple breast cysts` nsɛe hwee na ɛtɔ mmere bi a ɛno ankasa kɔ nti, ebia wo duruyɛfo bɛka akyerɛ wo kɛkɛ sɛ twɛn.
Nanso, sɛ worete ɛyaw anaasɛ wo ho nyɛ wo dɛ esiane cyst no nti a, wo duruyɛfo betumi de ade a wɔde yi nsu no afi mu (aspiration). Nanso, ɛtɔ mmere bi a nsu no tumi boaboa ano bio. Sɛ akisikuru no kɔ so hyɛ ma na ɛreyɛ yaw nkutoo a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi akisikuru no fi hɔ wɔ nsɛm a ɛntaa nsi koraa mu.
So abusuabɔ bi wɔ nufu mu akisikuru ne nufu mu kokoram ntam?
Eyi ne asɛmmisa kɛse a ɛwɔ obiara adwene mu. Mmuae no mu da hɔ.
Nufu mu akisikuru a ɛnyɛ den mma asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no nkɔ soro. Afei nso, saa ntini a ɛnyɛ hu yi rendan kokoram da.
`Complex` type of cysts a yɛadi kan aka ho asɛm no nkutoo na ɛwɔ asiane mu. Ɛno nti na nnuruyɛfoɔ yɛ `Biopsy` de si so dua sɛ wɔhunu biribi a ɛte saa a. Enti sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ `Simple cyst` a, nsuro koraa.
Enti dɛn na ɛsɛ sɛ meyɛ?
Yɛrentumi nsiw `Breast Cysts` a ɛbɛba no ano, nanso nneɛma bi wɔ hɔ a wubetumi ayɛ de ahwɛ wo nufu akwahosan so.
- Yɛ wo nufu mu nhwehwɛmu daa: Anyɛ yiye koraa no, hwehwɛ wo nufu mu pɛnkoro ɔsram biara na hwɛ sɛ ebia akuru foforo anaa nsakrae biara aba anaa.
- Sɛ wuhu nsakrae bi a, kɔ oduruyɛfo nkyɛn: Eyi ne ade a ɛho hia sen biara.Sɛ wuhu sɛ akuru foforo biara, honam ani nsakrae, anaa ɛyaw bi wɔ wo nufu mu a, nsusuw kɛkɛ sɛ, "Ebia eyi yɛ akisikuru ara kwa." Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwɛ wo. Ɔno na ɔbɛkyerɛ sɛ ɛyɛ cyst anaa biribi foforo.
Nkrasɛm a Wɔde Kɔ Fie
- Nufu mu akisikuru yɛ kotoku a ɛnyɛ kokoram, nsu ahyɛ mu ma a ɛtaa ba kɛse.
- Nufu mu akisikuru a ɛnyɛ den mma asiane a ɛwɔ hɔ sɛ obi benya nufu mu kokoram no nyɛ kɛse.
- Mpɛn pii no, nkwaadɔm mu nsakrae a ɛba nipadua no mu na ɛde eyinom ba.
- Sɛ wuhu sɛ akisikuru foforo anaa nsakrae bi aba wo nufu mu a, mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Mpɛn pii no, wɔfa ultrasound scan so hu yare no, na sɛ ɛyaw biara nni hɔ a, mpɛn pii no ɛho nhia sɛ wɔsa yare.
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